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Links Between Disorganized Attachment Classification and Clinical Symptoms in School-Aged Children

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Abstract

Research examining the links between disorganized attachment and clinical symptoms largely has neglected middle childhood due to lack of available measurement tools. The few studies that have examined these links in other developmental phases have found higher clinical symptoms in disorganized individuals. Our study extended this research by using a recently-developed attachment interview measure ideally suited to evaluate disorganized attachment in middle childhood. We examined concurrent associations among disorganized attachment in 8–12 year old children and symptoms of psychopathology theoretically hypothesized for their links with disorganized attachment. Using child- and parent-reports, we measured symptoms of depression, social anxiety, shyness, inattention, and thought problems. During our two-session study, 97 children completed the Child Attachment Interview, and children and parents completed clinical questionnaires. Results suggested that disorganized attachment was associated with higher child reports of depressive symptoms and shyness, and with parent-reports of social anxiety, inattention, and thought problems, and that disorganized children are more likely to have symptoms that meet clinical criteria. Implications for the relation of attachment to psychopathology are discussed.

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References

  • Achenbach, T. M. (1991). Manual for the child behavior checklist/4–18 and 1991 profile. Burlington, VT: University of Vermont, Department of Psychiatry.

    Google Scholar 

  • Ainsworth, M. S., & Bell, S. M. (1970). Attachment, exploration, and separation: Illustrated by the behavior of 1-year-olds in a strange situation. Child Development, 41, 49–67.

    Article  PubMed  Google Scholar 

  • Ainsworth, M. S., Blehar, M. C., Waters, E., & Wall, S. (1978). Patterns of attachment: A psychological study of the strange situation. Oxford, England: Lawrence Erlbaum.

    Google Scholar 

  • Ainsworth, M. S., & Eichberg, C. G. (1991). Effects on infant-mother attachment of mother’s unresolved loss of an attachment figure or other traumatic experience. In P. Marris, J. Stevenson-Hinde, & C. Parkes (Eds.), Attachment across the life cycle (pp. 160–183). New York: Routledge.

    Google Scholar 

  • Bakermans-Kranenburg, M. J., & van IJzendoorn, M. H. (2004). No association of the dopamine D4 receptor (DRD4) and -521 C/T promoter polymorphisms with infant attachment disorganization. Attachment & Human Development, 6, 211–218.

    Article  Google Scholar 

  • Bartholomew, K. (1990). Avoidance of intimacy: An attachment perspective. Journal of Social and Personal Relationships, 7, 147–178.

    Article  Google Scholar 

  • Bates, J. E., Bayles, K., Bennett, D. S., Ridge, B., & Brown, M. M. (1991). Origins of externalizing behavior problems at 8 years of age. In D. J. Pepler & K. H. Rubin (Eds.), The development and treatment of childhood aggression (pp. 93–120). Hillsdale, NJ: Lawrence Erlbaum Associates.

    Google Scholar 

  • Bates, J. E., Maslin, C. A., & Frankel, K. A. (1985). Attachment security, mother–child interaction, and temperament as predictors of behavior-problem ratings at age 3 years. Monographs of the Society for Research in Child Development, 50, 167–193.

    Article  PubMed  Google Scholar 

  • Belsky, J., & Rovine, M. (1987). Temperament and attachment security in the strange situation: An empirical rapprochement. Child Development, 58, 787–795.

    Article  PubMed  Google Scholar 

  • Benoit, D., & Parker, K. (1994). Stability and transmission of attachment across three generations. Child Development, 65, 1444–1456.

    Article  PubMed  Google Scholar 

  • Bowlby, J. (1969). Attachment and loss: Vol. 1. Attachment. New York: Basic Books.

    Google Scholar 

  • Bowlby, J. (1973). Attachment and loss: Vol. 2. Separation. New York: Basic Books.

    Google Scholar 

  • Bowlby, J. (1980). Attachment and loss: Vol. 3. Loss. New York: Basic Books.

    Google Scholar 

  • Bowlby, J. (1988). A secure base: Parent–child attachment and healthy human development. New York: Basic Books.

    Google Scholar 

  • Capaldi, D. M., & Rothbart, M. K. (1992). Development and validation of an early adolescent temperament measure. Journal of Early Adolescence, 12, 153–173.

    Article  Google Scholar 

  • Carlson, E. A. (1998). A prospective longitudinal study of disorganized/disoriented attachment. Child Development, 69, 1970–1979.

    Google Scholar 

  • Carlson, E. A., Cicchetti, D., Barnett, D., & Braunwald, K. (1989). Disorganized/disoriented attachment relationships in maltreated infants. Developmental Psychology, 25, 525–531.

    Article  Google Scholar 

  • Chi, T. C., & Hinshaw, S. P. (2002). Mother–child relationships of children with ADHD: The role of maternal depressive symptoms and depression-related distortions. Journal of Abnormal Child Psychology, 30, 387–400.

    Article  PubMed  Google Scholar 

  • Crittenden, P. M. (1992). Children’s strategies for coping with adverse home environments: An interpretation using attachment theory. Child Abuse and Neglect, 16, 329–343.

    Article  PubMed  Google Scholar 

  • Crockenberg, S. (1981). Infant irritability, mother responsiveness, and social support influences on the security of infant–mother attachment. Child Development, 52, 857–865.

    Article  PubMed  Google Scholar 

  • Crowell, J., Fraley, R. C., & Shaver, P. R. (1999). Measurement of individual differences in adolescent and adult attachment. In J. Cassidy & P. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications (pp. 434–465). New York: Guilford Press.

    Google Scholar 

  • De Los Reyes, A., & Kazdin, A. E. (2005). Informant discrepancies in the assessment of childhood psychopathology: A critical review, framework, and recommendations for future study. Psychological Bulletin, 131, 483–509.

    Article  PubMed  Google Scholar 

  • Dozier, M., Stovall, K. C., & Albus, K. E. (1999). Attachment and psychopathology in adulthood. In J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications (pp. 497–519). New York: Guilford Press.

    Google Scholar 

  • Dwyer, K. M. (2005). The meaning and measurement of attachment in middle and late childhood. Human Development, 48, 155–182.

    Article  Google Scholar 

  • Easterbrooks, M. A., Davidson, C. E., & Chazan, R. (1993). Psychosocial risk, attachment, and behavior problems among school-aged children. Development and Psychopathology, 5, 389–402.

    Article  Google Scholar 

  • Ellis, L. K., & Rothbart, M. K. (2001). Revision of the early adolescent temperament questionnaire. Poster Presented at the 2001 Biennial Meeting of the Society for Research in Child Development, Minneapolis, Minnesota.

  • Ellis, L. K., & Rothbart, M. K. (2005). Revision of the early adolescent temperament questionnaire. Manuscript in preparation.

  • Erickson, M. F., Sroufe, L. A., & Egeland, B. (1985). The relationship between quality of attachment and behavior problems in preschool in a high-risk sample. Monographs of the Society for Research in Child Development, 50, 147–166.

    Article  PubMed  Google Scholar 

  • Fagot, B. I., & Kavanagh, K. (1990). The prediction of antisocial behavior from avoidant attachment classification. Child Development, 61, 864–873.

    Article  PubMed  Google Scholar 

  • Fisher, S., & Mayes, L. C. (2001). Computerized assessment and presentation engine. (Version 3.0) [Computer software]. New Haven, CT: Yale University.

    Google Scholar 

  • Fonagy, P., Leigh, T., Steele, M., Steele, H., Kennedy, R., Mattoon, G., et al. (1996). The relation of attachment status, psychiatric classification, and response to psychotherapy. Journal of Consulting and Clinical Psychology, 64, 22–31.

    Article  PubMed  Google Scholar 

  • Fraley, R. C., & Spieker, S. (2003a). Are infant attachment patterns continuously or categorically distributed? A taxometric analysis of strange situation behavior. Developmental Psychology, 39, 387–404.

    Article  PubMed  Google Scholar 

  • Fraley, R. C., & Spieker, S. (2003b). What are the differences between dimensional and categorical models of individual differences in attachment? Reply to Cassidy (2003), Cummings, (2003), Sroufe (2003), and Waters and Beauchaine (2003). Developmental Psychology, 39, 423–429.

    Article  Google Scholar 

  • Fraley, R. C., Waller, N. G., & Brennan, K. A. (2000). An item response theory analysis of self-report measures of adult attachment. Journal of Personality and Social Psychology, 78, 350–365.

    Article  PubMed  Google Scholar 

  • Gadow, K. D., & Sprafkin, J. (1994, 1997, 1998). Child symptom inventories manual. Stony Brook, NY: Checkmate Plus.

  • Goldberg, S., Corter, C., Lojkasek, M., & Minde, K. (1990). Prediction of behavior problems in 4-year-olds born prematurely. Development and Psychopathology, 2, 15–30.

    Article  Google Scholar 

  • Greenberg, M. T. (1999). Attachment and psychopathology in childhood. In J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications. New York: Guilford Press.

    Google Scholar 

  • Hankin, B. L., & Abramson, L. Y. (2001). Development of gender differences in depression: An elaborated cognitive vulnerability-transactional stress theory. Psychological Bulletin, 127, 773–796.

    Article  PubMed  Google Scholar 

  • Hazan, C., & Shaver, P. R. (1987). Romantic love conceptualized as an attachment process. Journal of Personality and Social Psychology, 52, 511–524.

    Article  PubMed  Google Scholar 

  • Hazan, C., & Shaver, P. R. (1990). Love and work: An attachment theoretical perspective. Journal of Personality and Social Psychology, 59, 270–280.

    Article  Google Scholar 

  • Hesse, E. (1999). The adult attachment interview: Historical and current perspectives. In J. Cassidy & P. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications (pp. 395–433). New York: Guilford Press.

    Google Scholar 

  • Hesse, E., & Main, M. (1999). Second-generation effects of unresolved trauma as observed in non-maltreating parents: Dissociated, frightened, and threatening parental behavior. Psychoanalytic Inquiry, 19, 481–540.

    Article  Google Scholar 

  • Hesse, E., & Main, M. (2000). Disorganized infant, child, and adult attachment: Collapse in behavioral and attentional strategies. Journal of the American Psychoanalytic Association, 48, 1097–1127.

    Article  PubMed  Google Scholar 

  • Hesse, E., & van IJzendoorn, M. H. (1998). Parental loss of close family members and propensities towards absorption in offspring. Developmental Science, 1, 299–305.

    Article  Google Scholar 

  • Humfress, H., O’Connor, T. G., Slaughter, J., Target, M., & Fonagy, F. (2002). General and relationship-specific models of social cognition: Explaining the overlap and discrepancies. Journal of Child Psychiatry and Psychology and Allied Disciplines, 43, 873–883.

    Article  Google Scholar 

  • Kerns, K. A., Klepac, L., & Cole, A. (1996). Peer relationships and preadolescents’ perceptions of security in the child–mother relationship. Developmental Psychology, 32, 457–466.

    Article  Google Scholar 

  • Kerns, K. A., Tomich, P. L., Aspelmeier, J. E., & Contreras, J. M. (2000). Attachment-based assessments of parent–child relationships in middle childhood. Developmental Psychology, 36, 614–626.

    Article  PubMed  Google Scholar 

  • Kovacs, M. (1992). Children’s depression inventory manual. Los Angeles: Western Psychological Services.

    Google Scholar 

  • Lakatos, K., Toth, I., Nemoda, Z., Ney, K., Sasvari-Szekely, M., & Gervai, J. (2000). Dopamine D4 receptor (DRD4) gene polymorphism as associated with attachment disorganization in infants. Molecular Psychiatry, 5, 633–637.

    Article  PubMed  Google Scholar 

  • Lewis, M., Feiring, C., McGuffog, C., & Jaskir, J. (1984). Predicting psychopathology in 6-year-olds from early social relations. Child Development, 55, 123–136.

    Article  PubMed  Google Scholar 

  • Liotti, G. (1992). Disorganized/disoriented attachment in the etiology of the dissociative disorders. Dissociation, 4, 196–204.

    Google Scholar 

  • Lyons-Ruth, K. (1996). Attachment relationships among children with aggressive behavior problems: The role of disorganized early attachment patterns. Journal of Consulting and Clinical Psychology, 64, 64–73.

    Article  PubMed  Google Scholar 

  • Lyons-Ruth, K., & Block, D. (1996). The disturbed caregiving system: Relations among childhood trauma, maternal caregiving, and infant affect and attachment. Infant Mental Health Journal, 17, 257–275.

    Article  Google Scholar 

  • Lyons-Ruth, K., Zoll, D., Connell, D., & Grunebaum, H. U. (1989). Family deviance and family disruption in childhood: Associations with maternal behavior and infant maltreatment during the first two years of life. Development and Psychopathology, 1, 219–236.

    Article  Google Scholar 

  • Main, M., & Cassidy, J. (1988). Categories of response to reunion with the parent at age six: Predicted from infant attachment classifications and stable over a 1-month period. Developmental Psychology, 24, 415–426.

    Article  Google Scholar 

  • Main, M., & Hesse, E. (1990). Parents’ unresolved traumatic experiences are related to infant disorganized attachment status: Is frightened and/or frightening parental behavior the linking mechanism? In M. T. Greenberg, D. Cicchetti, & M. Cummings (Eds.), Attachment in the preschool years: Theory, research, and intervention (pp. 161–182). Chicago: University of Chicago Press.

    Google Scholar 

  • Main, M., Hesse, E., & Kaplan, N. (2005). Predictability of attachment behavior and representational processes at 1, 6, and 19 years of age: The Berkeley longitudinal study. In K. E. Grossmann, K. Grossmann, & E. Waters (Eds.), Attachment from infancy to adulthood: The major longitudinal studies (pp. 245–304). New York, NY: Guilford Publications.

    Google Scholar 

  • Main, M., & Morgan, H. (1996). Disorganization and disorientation in infant strange situation behavior: Phenotypic resemblance to dissociative states. In L. K. Michelson & W. J. Ray (Eds.), Handbook of dissociation: Theoretical, empirical, and clinical perspective (pp. 107–138). New York: Plenum Press.

    Google Scholar 

  • Main, M., & Solomon, J. (1990). Procedures for identifying infants as disorganized/disoriented during the Ainsworth strange situation. In M. T. Greenberg, D. Cicchetti, & E. M. Cummings (Eds.), Attachment in the preschool years: Theory, research, and intervention (pp. 121–160). Chicago, Illinois: University of Chicago Press.

    Google Scholar 

  • Main, M., & Weston, D. (1981). The quality of the toddler’s relationship to mother and to father: Related to conflict behavior and the readiness to establish new relationships. Child Development, 52, 932–940.

    Article  Google Scholar 

  • Mangelsdorf, S., Gunnar, M., Kestenbaum, R., Lang, S., & Andreas, D. (1990). Infancy proneness-to-distress temperament, maternal personality, and mother–infant attachment: Associations and goodness of fit. Child Development, 61, 820–831.

    Article  PubMed  Google Scholar 

  • Morisset, C. E., Barnard, K. E., Greenberg, M. T., Booth, C. L., & Spieker, S. J. (1990). Environmental influences on early language development: The context of social risk. Development and Psychopathology, 2, 127–149.

    Article  Google Scholar 

  • Moss, E., Cyr, C., & Dubois-Comtois, K. (2004). Attachment at early school age and developmental risk: Examining family contexts and behavior problems of controlling-caregiving, controlling-punitive, and behaviorally disorganized children. Developmental Psychology, 40, 519–532.

    Article  PubMed  Google Scholar 

  • Moss, E., Parent, S., Gosselin, C., Rousseau, D., & St-Laurent, D. (1996). Attachment and teacher-reported behavior problems during the preschool and early school-age period. Development and Psychopathology, 8, 511–525.

    Article  Google Scholar 

  • Moss, E., Rousseau, D., Parent, S., St-Laurent, D., & Saintonge, J. (1998). Correlates of attachment at school age: Mother–child interaction, maternal self-reports, and teacher-reported behavior problems. Child Development, 69, 1390–1405.

    Article  PubMed  Google Scholar 

  • Moss, E., Smolla, N., Cyr, C., Dubois-Comtois, K., Mazzarello, T., & Berthiaume, C. (2006). Attachment and behavior problems in middle childhood as reported by adult and child informants. Development and Psychopathology, 18, 425–444.

    Article  PubMed  Google Scholar 

  • Nolen-Hoeksema, S., & Girgus, J. S. (1994). The emergence of gender differences in depression during adolescence. Psychological Bulletin, 115(3), 424–443.

    Article  PubMed  Google Scholar 

  • Ogawa, J. R., Sroufe, L. A., Weinfield, N. S., Carlson, E. A., & Egeland, B. (1997). Development and the fragmented self: Longitudinal study of dissociative symptomatology in a nonclinical sample. Development and Psychopathology, 9, 855–879.

    Article  PubMed  Google Scholar 

  • Patrick, M., Hobson, R. P., Castle, D., Howard, R., & Maughan, B. (1994). Personality disorder and the mental representation of early social experience. Development and Psychopathology, 6, 375–388.

    Article  Google Scholar 

  • Renken, B., Egeland, B., Marvinney, D., Mangelsdorf, S., & Sroufe, L. A. (1989). Early childhood antecedents of aggression and passive-withdrawal in early elementary school. Journal of Personality, 57, 257–281.

    Article  PubMed  Google Scholar 

  • Rosenstein, D. S., & Horowitz, H. A. (1996). Adolescent attachment and psychopathology. Journal of Consulting and Clinical Psychology, 64, 244–253.

    Article  PubMed  Google Scholar 

  • Rutter, M. (1987). Psychosocial resilience and protective mechanisms. American Journal of Orthopsychiatry, 57, 316–331.

    Article  PubMed  Google Scholar 

  • Saylor, C. F., Finch, A. J., Spirito, A., & Bennett, B. (1984). The children’s depression inventory: A systematic evaluation of psychometric properties. Journal of Consulting and Clinical Psychology, 52, 955–967.

    Article  PubMed  Google Scholar 

  • Shaw, D. S., Owens, E. B., Vondra, J. I., & Keenan, K. (1996). Early risk factors and pathways in the development of early disruptive behavior problems. Development and Psychopathology, 8, 679–699.

    Article  Google Scholar 

  • Shaw, D. S., & Vondra, J. I. (1995). Infant attachment security and maternal predictors of early behavior problems: A longitudinal study of low-income families. Journal of Abnormal Child Psychology, 23, 335–357.

    Article  PubMed  Google Scholar 

  • Shmueli-Goetz, Y., Target, M., Datta, A., & Fonagy, P. (2008). The child attachment interview: A psychometric study of reliability and discriminant validity. Developmental Psychology, 44, 939–956.

    Article  PubMed  Google Scholar 

  • Solomon, J., & George, C. (Eds.). (1999). Attachment disorganization. New York: The Guilford Press.

    Google Scholar 

  • Spangler, G., & Grossmann, K. E. (1999). Individual and physiological correlates of attachment disorganization in infancy. In J. Solomon & C. George (Eds.), Attachment disorganization (pp. 95–124). New York: The Guilford Press.

    Google Scholar 

  • Sroufe, L. A., Egeland, B., & Kreutzer, T. (1990). The fate of early experience following developmental change: Longitudinal approaches to individual adaptation in childhood. Child Development, 61, 1363–1373.

    Article  PubMed  Google Scholar 

  • Stovall-McGough, C. K., & Cloitre, M. (2006). Unresolved attachment, PTSD, and dissociation in women with childhood abuse histories. Journal of Consulting and Clinical Psychology, 74, 219–228.

    Article  Google Scholar 

  • Target, M., Fonagy, F., & Shmueli-Goetz, Y. (2003). Attachment representation in school-age children: The development of the child attachment interview (CAI). Journal of Child Psychotherapy, 29, 171–186.

    Article  Google Scholar 

  • van IJzendoorn, M. H. (1995). Adult attachment representations, parental responsiveness, and infant attachment: A meta-analysis on the predictive validity of the adult attachment interview. Psychological Bulletin, 117, 387–403.

    Article  PubMed  Google Scholar 

  • van IJzendoorn, M. H., Schuengel, C., & Bakermans-Kranenburg, M. J. (1999). Disorganized attachment in early childhood: Meta-analysis of precursors, concomitants, and sequelae. Development and Psychopathology, 11, 225–249.

    Article  PubMed  Google Scholar 

  • Vaughn, B. E., & Bost, K. K. (1999). Attachment and temperament: Redundant, independent, or interacting influences on interpersonal adaptation and personality development? In J. Cassidy & P. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications (pp. 198–225). New York: Guilford Press.

    Google Scholar 

  • Vaughn, B. E., Bost, K. K., & van IJzendoorn, M. H. (2008). Attachment and temperament: Additive and interactive influences on behavior, affect, and cognition during infancy and childhood. In J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment (2nd ed., pp. 192–216). Guilford Press: New York.

    Google Scholar 

  • Warren, S. L., Huston, L., Egeland, B., & Sroufe, L. A. (1997). Child and adolescent anxiety disorders and early attachment. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 637–644.

    Article  PubMed  Google Scholar 

  • Waters, E., Hamilton, C. E., & Weinfield, N. S. (2000a). The stability of attachment security from infancy to adolescence and early adulthood: General introduction. Child Development, 71, 678–683.

    Article  PubMed  Google Scholar 

  • Waters, E., Merrick, S., Treboux, D., Crowell, J., & Albersheim, L. (2000b). Attachment security in infancy and early adulthood: A 20-year longitudinal study. Child Development, 71, 684–689.

    Article  PubMed  Google Scholar 

  • Waters, E., Weinfield, N. S., & Hamilton, C. E. (2000c). The stability of attachment security from infancy to adolescence and early adulthood: General discussion. Child Development, 71, 703–706.

    Article  PubMed  Google Scholar 

  • Weinfield, N. S. (2005). Assessment of attachment in middle childhood: A return to theory. Human Development, 48, 188–194.

    Article  Google Scholar 

  • Weinfield, N. S., Sroufe, L. A., & Egeland, B. (2000). Attachment from infancy to early adulthood in a high risk sample: Continuity, discontinuity, and their correlates. Child Development, 71, 695–702.

    Article  PubMed  Google Scholar 

  • Weinfield, N. S., Sroufe, L. A., Egeland, B., & Carlson, E. A. (1999). The nature of individual differences in infant–caregiver attachment. In J. Cassidy & P. R. Shaver (Eds.), The handbook of attachment: Theory, research, and clinical applications (pp. 68–88). New York: Guilford Press.

    Google Scholar 

  • West, M., Adam, K., Spreng, S., & Rose, S. (2001). Attachment disorganization and dissociative symptoms in clinically treated adolescents. Canadian Journal of Psychiatry, 46, 627–631.

    Google Scholar 

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Acknowledgments

This research was supported in part by grants from National Science Foundation, the Center for Mental Health Promotion, and NIA Grant 1-F32AG032310-01 awarded to the first author. Special thanks are due to Nicki Hunter, Eric Langlois, Donald F. Nathanson, and Erika McCarty for their assistance with data processing, as well as all of the children and families who participated in this project. Thanks to the editor and the two anonymous reviewers who provided invaluable feedback on the manuscript.

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Borelli, J.L., David, D.H., Crowley, M.J. et al. Links Between Disorganized Attachment Classification and Clinical Symptoms in School-Aged Children. J Child Fam Stud 19, 243–256 (2010). https://doi.org/10.1007/s10826-009-9292-8

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